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Private cortisone injections for coccyx pain in South London. Understand what types of coccyx pain are treatable and how cortisone injections can help. Free consultation. Cortisone Injections for Coccyx Pain in South London Coccyx pain cortisone injections at our clinic We are a leading cortisone injection clinic offering steroid injections for coccyx pain, also known as coccygodynia or coccydynia in medical terms. Steroid injections can bring significant relief from coccyx pain and bring you much-needed respite from your condition. We offer private injections at our South London clinic. A free telephone consultation is available to understand whether injections will be helpful and appropriate in your particular case, and to ensure your injection will be safe and give you maximum benefit. Booking is quick and easy, please see our book appointment page for more details. Types of Coccyx pain that are suitable for cortisone injection The coccyx is the small, triangular bone at the base of the spine, commonly referred to as the tailbone and can be a cause a low back pain . When it is painful, symptoms are often aggravated by sitting, standing, or any activity that puts pressure on the tailbone. Cortisone injections are appropriate treatments for coccyx pain and medical research has suggested that patients with coccygodynia for less than 6 months are more likely to improve. However there is no hard-and-fast rule for which conditions are suitable, as various factors need to be taken into consideration such as the severity of the condition or pain, overall health, the particular diagnosis and any contraindications to treatment. In order to ensure injection therapy is the right course of action in your particular case, we offer a free virtual consultation to get a quick picture of your health and the condition you are experiencing, and advise on whether steroid injections are a good course of action for you. At your appointment we will also carry out a full ultrasound-led diagnosis and assessment to ensure you are receiving the most appropriate treatment and best possible care. “Max is a highly trained, responsive, competent, communicative, and caring practitioner and person. He has successfully treated me for the management of knee pain and other arthritic conditions over the last 5-6 years enabling me to live a physically active life. I really cannot recommend Max highly enough.” Helena Davis, 55, Personal Assistant at Royal College of Psychiatrists What our patients say How do cortisone injections help with coccyx pain? Cortisone injections can rapidly reduce pain, bringing much-needed relief and increased mobility. If you have found your work or other daily activities involving prolonged sitting, standing, or anything increasing the pressure on the pelvic floor being hindered by your coccyx pain, a steroid injection can allow you the freedom to get back to work and normal life. Pain is not to be underestimated and when it becomes bad it can become debilitating and lead to depression. Coccyx pain can also lead to inactivity which can cause further problems such as postural and health issues, leading to even further inactivity, known as the chronic pain cycle . It is crucial to seek help when you are in pain and not simply try to live with it, as when left unchecked pain can cause gradual deterioration of both mental and physical health. The break from pain and other symptoms brought by steroid injections will also allow you to take other actions to proactively combat your problem. In particular, you will be able to follow a physiotherapist-prescribed exercise programme to deal with your condition at the root by building flexibility and strength in the pelvic floor. It is important you do any exercises your physiotherapist gives you to avoid your problem worsening in the future and potentially leading to more problems further down the line. All our treatments include a written report and guidance on moving forward with treating your problem following your injection, so that you can use the opportunity the injection gives to set yourself on a path to better health. We also include a personalised physiotherapy exercise plan wherever appropriate. For more information about cortisone injections and frequently asked questions, see our cortisone injections page . How much do cortisone injections cost? Our cortisone injections start at just £260 including initial telephone consultation, diagnostic ultrasound, ultrasound-guided injection, written report with care plan and exercise prescription if appropriate. See our fees What coccyx pain conditions do you typically treat with injections? Whilst there is no definitive list, coccyx pain conditions that we often see as candidates for injection therapy include: after an injury to the coccyx such as a fall or direct impact, prolonged sitting, especially on hard surfaces, activities that involve repetitive strain on the tailbone, such as cycling or rowing or after childbirth, sometime caused by trauma during delivery. These conditions are all often related to inflammation, whilst structural damage such as fractures or bone-related conditions are generally not treated with steroid injections. In all cases, a consultation with a medical professional is crucial in choosing the right course of treatment for your particular case. Are cortisone injections a long-term solution for coccyx pain? Corticosteroids have a short term effect (around 3 months) but a common belief is that cortisone injections do not address the underlying causes of your pain and will only stop the symptoms. First of all, your pain has a massive impact on your daily life and any relief, even temporary, can help significantly with your sleep, work or family activities, and as a result, improve your general well being and mental health. Fortunately, simple pathologies, even when causing severe pain, tend to improve overtime and by the time the steroid has stopped working, we expect that your body has healed by itself and the pain won't return. Secondly, the pain free period allowed by steroid injections (up to 3-6 months on average and sometime over 1 year) is a window that will be used to begin further treatment such as a prescribed exercise program or sessions of physiotherapy , in order to address other causative factors for your problems. In some cases steroid injections can also be a permanent solution by stopping chronic inflammation or disrupting your pain signal. At your virtual consultation and first appointment , your clinician will ask questions and assess you to diagnose your problem and explain to you the options available. This will help you to understand how you can use the respite from pain which a corticosteroid injection provides, to work directly on your problem and provide you with a personalized exercise plan to avoid reliance on injections in the future. Your clinician All our injection treatments are carried out by our experienced physiotherapist and injection clinician, Maxence Legout. Max has over 15 years experience and holds a senior position in the NHS, where he carries out over 2000 ultrasound-guided injection & procedures every year. For more information please see our clinician page , or book a free online or telephone consultation to speak to Max directly. Read More What other treatments are available for coccyx pain? After a minor injury, such as a low grade impact or fall into your buttock from a low height, usually rest, ice and painkilling treatments like over-the-counter analgesic pills or gels are often sufficient. Cushions in U shape or circular such as donuts, are also helpful adjuncts to sit comfortably. For sever pain or when symptoms persist over 3 months and are not responding to cortisone injection, nerve blocks into the pelvic floor or surgery might be recommended. More information are available here . Rehabilitation with pelvic floor exercises are all also important, and your physiotherapist will guide you on what activities you should do or should avoid at each stage of your recovery. If you are suffering from coccyx pain, a diagnosis from a medical professional is an essential first step in understanding your problem and understanding what is the right course of treatment for you. MEDICAL REVIEW - The medical information on this page has been reviewed for accuracy by Maxence Legout, MSc, Physiotherapist . Pilates Studio in Lambeth 88 Atlantic Road, London, SW9 8PX, England 2 min from Brixton Underground Station 8 min from Pimlico via Victoria Line 15 min from Oxford Circus 27 min from King's Cross St Pancras Cortisone Injections at our South London Clinic Book an Appointment Booking an appointment is easy. Simply choose an available slot for a free phone consultation and we'll do the rest. There are no long wait times and you can normally have your injection treatment within 3-4 days of first making contact. Book Appointment Now

Private Ultrasound Guided Hyaluronic Acid Injections in South London. Understand what is a hyaluronic acid injection and how it can help to manage you joint or tendon pain. Free consultation. Ultrasound Guided Hyaluronic Acid Injections in South London Hyaluronic Acid Injections at our clinic We are a leading musculoskeletal clinic offering diagnostic ultrasound and ultrasound guided procedures such as hyaluronic acid injections for musculoskeletal pathologies. We perform all procedures as part of a comprehensive and global management of your condition. We offer our services at our South London clinic. A free telephone consultation is available to understand whether an ultrasound scan will be helpful and appropriate in your particular case. Booking is quick and easy, please see our book appointment page for more details. What is Hyaluronic Acid? Hyaluronic acid is a naturally occurring substance found in the human body and present in various tissues and fluids, with high concentrations found in skin, eyes, and synovial fluid within joints. In joints and tendons, hyaluronic acid ensures normal, painless movement due to its lubricating and shock absorbing properties. It is also responsible for the nutrition of the cartilage. The production of hyaluronic acid in the body can decrease with age, and this reduction is associated with changes in joint health. Hyaluronic acid injections have been proven safe and effective for chronic moderate osteoarthritis and tendon disorders. We typically recommend these injections for knees and hip osteoarthritis or patellar, Achilles and posterior tibial tendinopathy. We use Ostenil Plus and Ostenil Tendon. “Max is a highly trained, responsive, competent, communicative, and caring practitioner and person. He has successfully treated me for the management of knee pain and other arthritic conditions over the last 5-6 years enabling me to live a physically active life. I really cannot recommend Max highly enough.” Helena Davis, 55, Personal Assistant at Royal College of Psychiatrists What our patients say What can be treated with ultrasound guided cortisone injections? Hyaluronic acid injections, also called viscosupplementation, is injected as a gel. Extensive medical research suggests that ultrasound guidance is more effective and decrease the risk of complications. The conditions that we treat include osteoarthritis especially for knee pain and tendon injuries like tendonitis or tenosynovitis of the Long Head of Biceps or posterior tibial tendon. How do Hyaluronic acid injections work ? Mechanism of action and effects on joints and tendons is multiple but here are some general considerations: Joint Lubrication by supplementing the natural hyaluronic acid in the joint and potentially reducing friction and pain during joint movement. Anti-Inflammatory Properties. Stimulation of Tissue Healing by promoting the cellular activities of fibroblasts. Tendon Health by promoting tendon gliding, reducing adhesion as well as improving tendon architectural organisation. How much do ultrasound Hyaluronic Acid injections cost? Our hyaluronic acid injections cost £320 including initial telephone consultation, diagnostic ultrasound, written report with care plan and exercise prescription if appropriate. See our fees How often do I need to have hyaluronic acid injections? The frequency of hyaluronic acid injections depends on various factors, including the specific medical condition being treated, individual response to the injections, and individual features. Typically, we perform a single injection per joint and two injection with one week in between for tendons. Prior to repeat an injection, we will consider the severity and chronicity of the condition, the location of the injection, and any potential side effects associated with repeated use. There is no risk of becoming addict to hyaluronic acid if you have repeated procedures. Hyaluronic acid injections can also be combined with co rticosteroid injections in some occasions. Why should I book my hyaluronic acid injection at Insight MSK? All our procedures and diagnostics are part of a comprehensive management of your condition in line with recent scientific evidence. All injections are ultrasound guided, which have been proven to be more effective and are all preceded by a thorough clinical examination. We do not only diagnose or "fix" problems but we strive to understand the context and causative factors which have led to your condition in order to prevent re-occurrence. These require several skills and the ability to deal with complex and multiple information which often need the expertise from different specialists and therefore multiple appointments, travel, fees... We offer all these services together to give you a prompt single point of contact to assess, diagnose and manage your condition thanks to our unique and vast experience in musculoskeletal medicine. Your clinician All our injection treatments are carried out by our experienced physiotherapist and injection clinician, Maxence Legout. Max has over 15 years experience and holds a senior position in the NHS, where he carries out over 2000 ultrasound-guided injection & procedures every year. For more information please see our clinician page, or book a free telephone or online consultation to speak to Max directly. Read More What are the contraindications and risks associated to Hyaluronic Acid injections? Hyaluronic acid injections are extremely safe and very rarely cause side effects. However, like with any medical intervention, there are risks of allergic reactions, infection, bruising, feeling of heat, redness, joint swelling, tachycardia, hypertension, hypotension, shortness of breath, nausea, itchiness or temporary increased pain after the procedure. Hyaluronic acid preparations used in our clinic have been obtained by biofermentation and contain no animal protein but Ostenil Tendon contains mannitol which helps to stabilise the hyaluronic acid. If you have known allergy to Ostenil components it's an absolute contraindication. Other contraindications includes patients under 18, pregnant and breastfeeding women. We also do not inject hyaluronic acid on patients with rheumatoid arthritis or ankylosing spondylitis due to the absence of clinical studies. For more information, the manufacturer leaflets are available here for Ostenil Tendons and here for Ostenil Plus. MEDICAL REVIEW - The medical information on this page has been reviewed for accuracy by Maxence Legout, MSc, Physiotherapist . Pilates Studio in Lambeth 88 Atlantic Road, London, SW9 8PX, England 2 min from Brixton Underground Station 8 min from Pimlico via Victoria Line 15 min from Oxford Circus 27 min from King's Cross St Pancras Cortisone Injections at our South London Clinics Book an Appointment Booking an appointment is easy. Simply choose an available slot for a free phone consultation and we'll do the rest. There are no long wait times and you can normally have your injection treatment within 3-4 days of first making contact. Book Appointment Now

Private cortisone injections for sacroiliitis in South London. Understand what types of sacroiliac pain are treatable and how cortisone injections can help. Free consultation. Cortisone Injections for Sacroiliac joint pain in South London Sacroiliac joint pain cortisone injections at our clinic We are a leading cortisone injection clinic offering steroid injections for sacroiliac joint pain, also known as sacroiliitis or sacroiliac joint dysfunction. Medical research suggests that up to 25% of low back pain are sacroiliac joint related. Steroid injections can bring significant relief from SIJ pain and bring you much-needed respite from your condition. We offer private injections at our South London clinic. A free telephone consultation is available to understand whether injections will be helpful and appropriate in your particular case and to ensure your injection will be safe and give you maximum benefit. Booking is quick and easy, please see our book appointment page for more details. What causes sacroiliac joint pain and what are the symptoms? The sacroiliac joint connects the sacrum, the triangular bone at the base of the spine, to the ilium, which is one of the large pelvic bones. The sacrum and ilium are connected by strong ligaments that stabilize the joint. The sacroiliac joint plays a crucial role in transferring the weight of the upper body to the pelvis and legs. Sacroiliac joint pain can result from various factors, and the precise cause may differ from person to person. Some common causes of sacroiliac pain include: Trauma to the sacroiliac joint, such as a fall or car accident, can cause damage to the ligaments or cartilage, leading to pain and dysfunction. Pregnancy secondary to the hormonal changes and increased mobility of joints can sometimes lead to sacroiliac joint pain. This condition is often referred to as pregnancy-related pelvic girdle pain. Osteoarthritis similar to those seen in other joints, cause by progressive cartilage degeneration can cause pain. Ligamentous Laxity in some individuals with joint hypermobility syndrome (such as Ehlers-Danlos syndromes) can contribute to instability and increased motion in the sacroiliac joint, leading to pain. Infection (in rare cases) affecting the sacroiliac joint can cause pain. Septic arthritis of the sacroiliac joint is a serious condition that requires prompt medical attention. Inflammatory related conditions including spondyloarthritis (such as ankylosing spondylitis), psoriatic arthritis, reactive arthritis, Inflammatory Bowel Disease (IBD) or other inflammatory disorders. can cause secondary SIJ pain and inflammation. Referred Pain from nearby structures, such as the lumbar spine or hip, can be referred to the sacroiliac joint, making it appear as though the pain is originating from the joint itself. Common symptoms of sacroiliac pain include: Pain and Stiffness in the lower back and buttocks . The pain may be felt on one or both sides. Reduced range of motion in the lower back and hips making activities such as bending, twisting, or lifting more challenging. Morning Stiffness where symptoms gradually improve with movement throughout the day. Pain Radiating to Legs and thighs in some cases mimicking sciatica. Tenderness with palpation over the sacroiliac joints. Systemic Symptoms such as fatigue, fever, and weight loss. In order to ensure injection therapy is the right course of action in your particular case, we offer a free virtual consultation to get a quick picture of your health and the condition you are experiencing, and advise on whether steroid injections are a good course of action for you. At your appointment we will also carry out a physical assessment to ensure you are receiving the most appropriate treatment and best possible care. “Max is a highly trained, responsive, competent, communicative, and caring practitioner and person. He has successfully treated me for the management of knee pain and other arthritic conditions over the last 5-6 years enabling me to live a physically active life. I really cannot recommend Max highly enough.” Helena Davis, 55, Personal Assistant at Royal College of Psychiatrists What our patients say How do cortisone injections help with sacroiliac pain? We typically perform corticosteroid injections sacroiliac pain related to degenerative conditions such as osteoarthritis or secondary to trauma, when the pain has not settled with simple analgesia and that a fracture has been ruled out. Cortisone injections can rapidly reduce pain, bringing much-needed relief and increased mobility. If you have found your work or other daily activities involving prolonged sitting, standing, walking uphill, or anything else causing sacroiliac pain, a steroid injection can allow you the freedom to get back to work and normal life. Pain is not to be underestimated and when it becomes bad it can become debilitating and lead to depression. Sacroiliac pain can also lead to inactivity which can cause further problems such as postural and health issues, leading to even further inactivity, known as the chronic pain cycle . It is crucial to seek help when you are in pain and not simply try to live with it, as when left unchecked pain can cause gradual deterioration of both mental and physical health. The break from pain and other symptoms brought by steroid injections will also allow you to take other actions to proactively combat your problem. In particular, you will be able to follow a physiotherapist-prescribed exercise programme to deal with your condition at the root by building flexibility and strength in the pelvic floor and lumbar region. It is important you do any exercises your physiotherapist gives you to avoid your problem worsening in the future and potentially leading to more problems further down the line. All our treatments include a written report and guidance on moving forward with treating your problem following your injection, so that you can use the opportunity the injection gives to set yourself on a path to better health. We also include a personalised physiotherapy exercise plan wherever appropriate. For more information about cortisone injections and frequently asked questions, see our cortisone injections page . How much do cortisone injections cost? Our cortisone injections start at just £260 including initial telephone consultation, diagnostic ultrasound, ultrasound-guided injection, written report with care plan and exercise prescription if appropriate. See our fees Do you diagnose sacroiliac pain with ultrasound? Ultrasound imaging itself is not appropriate to diagnose sacroiliac pain but it can be useful to perform a diagnostic ultrasound guided injection where a local anaesthetic is injected into the joint to confirm its role in pain. Diagnosing the exact cause of sacroiliac pain can be challenging, and we often use a combination of clinical evaluation, blood tests, X-rays and/or MRI, and to determine the underlying cause. Are cortisone injections a long-term solution for sacroiliac joint pain? Corticosteroids have a short term effect (around 3 months) but a common belief is that cortisone injections do not address the underlying causes of your pain and will only stop the symptoms. First of all, your pain has a massive impact on your daily life and any relief, even temporary, can help significantly with your sleep, work or family activities, and as a result, improve your general well being and mental health. Fortunately, simple pathologies, even when causing severe pain, tend to improve overtime and by the time the steroid has stopped working, we expect that your body has healed by itself and the pain won't return. Secondly, the pain free period allowed by steroid injections (up to 3-6 months on average and sometime over 1 year) is a window that will be used to begin further treatment such as a prescribed exercise program or sessions of physiotherapy , in order to address other causative factors for your problems. At your virtual consultation and first appointment , your clinician will ask questions and assess you to diagnose your problem and explain to you the options available. This will help you to understand how you can use the respite from pain which a corticosteroid injection provides, to work directly on your problem and provide you with a personalized exercise plan to avoid reliance on injections in the future. Your clinician All our injection treatments are carried out by our experienced physiotherapist and injection clinician, Maxence Legout. Max has over 15 years experience and holds a senior position in the NHS, where he carries out over 2000 ultrasound-guided injection & procedures every year. For more information please see our clinician page , or book a free online or telephone consultation to speak to Max directly. Read More What other treatments are available for sacroiliac joint pain? After a minor injury or repetitive strain, usually rest, ice or heat and painkilling treatments like over-the-counter analgesic pills or gels are often sufficient. Pelvic belt can be useful for pregnancy related SIJ pain. For sever pain or when symptoms persist over 12 weeks and are not responding to cortisone injection, radiofrequency denervation or surgery might be recommended. More information on sacroiliac joint pain are available here . Rehabilitation with pelvic floor and low back exercises are all also important, and your physiotherapist will guide you on what activities you should do or should avoid at each stage of your recovery. If you are suffering from coccyx pain, a diagnosis from a medical professional is an essential first step in understanding your problem and understanding what is the right course of treatment for you. MEDICAL REVIEW - The medical information on this page has been reviewed for accuracy by Maxence Legout, MSc, Physiotherapist . Pilates Studio in Lambeth 88 Atlantic Road, London, SW9 8PX, England 2 min from Brixton Underground Station 8 min from Pimlico via Victoria Line 15 min from Oxford Circus 27 min from King's Cross St Pancras Cortisone Injections at our South London Clinic Book an Appointment Booking an appointment is easy. Simply choose an available slot for a free phone consultation and we'll do the rest. There are no long wait times and you can normally have your injection treatment within 3-4 days of first making contact. Book Appointment Now

Private US Guided Barbotage for calcific tendonitis in South London. Understand what is barbotage and how it can help to manage your pain from calcific tendonitis. Free consultation. US Guided Hydrodistension in South London for Frozen Shoulder What is a shoulder hydrodistension? We are a leading musculoskeletal clinic offering diagnostic ultrasound and ultrasound guided procedures such as hydrodistension for frozen shoulder . We perform all procedures as part of a comprehensive and global management of your condition. We offer our services at our Central London and South London clinics and also offer home visits in the South London area. A free telephone consultation is available to understand whether an ultrasound scan will be helpful and appropriate in your particular case. Booking is quick and easy, please see our book appointment page for more details. What is a shoulder hydrodistension? Hydrodistension, also called hydrodilatation, is a technique is used to treat capsulitis (frozen shoulder) when other treatments have failed. Frozen shoulder is characterized by pain and stiffness in the shoulder joint resulting in severe limited mobility. After numbing the shoulder with an anaesthetic agent, sterile saline is injected to attempt to stretch the joint and help to recover some mobility. Here's an overview of the expected benefits: Mechanical Stretching as the injected fluid creates pressure within the joint and distend the capsule. This stretching aims to break up adhesions that may have formed within the joint capsule, contributing to the restricted range of motion. Increased Joint Space temporarily with the fluid occupying the inside of the shoulder joint. This expansion can help improve shoulder mobility and reduce the sensation of tightness associated with frozen shoulder. Facilitating physiotherapy and exercises as the increased joint space created by the procedure can make it easier to move, which plays a crucial role in restoring normal shoulder function. Pain Relief following the associated injection of corticosteroid also contribute to pain relief for individuals with frozen shoulder. Recent medical research suggests that hydrodistension helps more in the short term mobility in comparison to steroid injection alone. However it is not clear if it helps in the long term. We typically recommend this procedure if more conservative management has failed and prior to consider surgical management. “Max is a highly trained, responsive, competent, communicative, and caring practitioner and person. He has successfully treated me for the management of knee pain and other arthritic conditions over the last 5-6 years enabling me to live a physically active life. I really cannot recommend Max highly enough.” Helena Davis, 55, Personal Assistant at Royal College of Psychiatrists What our patients say How an hydrodistension is performed? Here's an overview of how shoulder hydrodistension is typically performed: An ultrasound scan is first performed to exclude other pathologies and confirm where the injection will be performed. We first inject local anaesthetics around and inside the shoulder joint in order to minimize pain during the procedure. A sterile saline solution is injected slowly into the joint capsule to attempt to stretch the joint capsule. A corticosteroid injection is then performed at the end of the procedure. How much Hydrodistensions cost? Our Ultrasound Guided hydrodistension procedure start from £300 including initial telephone consultation, diagnostic ultrasound, written report with care plan and exercise prescription if appropriate. See our fees Why should I book my US guided hydrodistension at Insight MSK? All our procedures and diagnostics are part of a comprehensive management of your condition in line with recent scientific evidence. All injections are ultrasound guided, which have been proven to be more effective and are all preceded by a thorough clinical examination. We do not only diagnose or "fix" problems but we strive to understand the context and causative factors which have led to your condition in order to prevent re-occurrence. These require several skills and the ability to deal with complex and multiple information which often need the expertise from different specialists and therefore multiple appointments, travel, fees... We offer all these services together to give you a prompt single point of contact to assess, diagnose and manage your condition thanks to our unique and vast experience in musculoskeletal medicine. Your clinician All our injection treatments are carried out by our experienced physiotherapist and injection clinician, Maxence Legout. Max has over 15 years experience and holds a senior position in the NHS, where he carries out over 2000 ultrasound-guided injection & procedures every year. For more information please see our clinician page, or book a free telephone or online consultation to speak to Max directly. Read More Is an ultrasound guided hydrodistension painful ? The level of pain experienced during an ultrasound guided hydrodistension can vary from person to person. Some individuals may find the procedure uncomfortable, while others may experience more significant pain. We use local anaesthesia to numb the area before performing the procedure, which can help minimize pain during the actual injection. After the procedure, patients may experience some soreness, but this is typically temporary. We encourage you to communicate any concerns with us to ensure a comfortable and informative experience. MEDICAL REVIEW - The medical information on this page has been reviewed for accuracy by Maxence Legout, MSc, Physiotherapist . Pilates Studio in Lambeth 88 Atlantic Road, London, SW9 8PX, England 2 min from Brixton Underground Station 8 min from Pimlico via Victoria Line 15 min from Oxford Circus 27 min from King's Cross St Pancras Cortisone Injections at our South London Clinic Book an Appointment Booking an appointment is easy. Simply choose an available slot for a free phone consultation and we'll do the rest. There are no long wait times and you can normally have your injection treatment within 3-4 days of first making contact. Book Appointment Now

Maxence Legout (Max) is a specialist physiotherapist with over 15 years’ experience providing private cortisone injections for musculoskeletal pain. He is passionately dedicated to providing an individualised, honest, evidence based and affordable service to help Londoners live pain free and recover their mobility The Team Your MSK expert clinicians Maxence Legout is the founder of Insight MSK. He is a specialist physiotherapist with over 15 years’ experience helping people with musculoskeletal conditions. Max has worked in France, in Belgium, in Switzerland and has been practicing in the UK for 8 years. He is a well-established senior NHS clinician in South London where he performs over 2000 ultrasound guided procedures each year. Max is fully registered with the Health & Care Professions Council and the Chartered Society of Physiotherapy . He is also licensed to prescribe and administer medicines in the UK. Max has always been passionate about physical activity and supporting people to develop their full potential. Early on, he was conscious that being physically active and healthy plays a major role in maintaining positive mental health and wellbeing. After a Bachelor in Sport Sciences in 2007 from Le Mans University in France, he then obtained his Master’s degree in physiotherapy from Brussels, Belgium during which he achieved top scores and the highest graded MSc dissertation from his student cohort. He then developed his expertise by pursuing post graduate university degrees in musculoskeletal medicine, advanced clinical practice and CASE accredited medical ultrasound. His professional experience is broad and marked by innovation and forward thinking. He has worked in Europe’s leading sports & fitness clubs, in rehabilitation and orthopaedics services as well as in emergency and radiology departments in busy NHS university hospitals in London. He pioneered the use of ultrasound scan for musculoskeletal injuries in the Emergency Department at King’s College Hospital in London. Involved in teaching, Maxence has also been a visiting lecturer at the University of Louvain in Belgium and currently teaches the first and only MSK ultrasound course for emergency clinicians in the UK. He also teaches ultrasound guided injections to doctors in Belgium. Throughout his career, Maxence has built a solid professional network and collaborates closely with some of the best healthcare professionals in London. As an exercise specialist, Max has a holistic approach and possesses strong skills to apprehend complex health issues. Max offers appointments on Monday, Tuesdays and Thursdays in Brixton and on demand in Central London. Gareth Evans is a Specialist Musculoskeletal Physiotherapist and Sonographer with over 15 years of experience in managing musculoskeletal conditions. Gareth holds degrees in Sport & Exercise Science and Physiotherapy, along with postgraduate qualifications in Injection Therapy, MSK Ultrasonography, and MSK Medicine. With a strong clinical background in both community and hospital musculoskeletal services, as well as radiology, Gareth performs over 1,000 MSK interventions each year. He is also actively involved in education, regularly teaching on MSK injection and ultrasound courses Gareth's clinical background is complemented by previously serving as Clinical Lead, Care Quality Commission (CQC) Registered Manager, and executive committee member for MSK professional networks. These roles have kept him closely engaged with evolving practices and regulatory standards. His passion lies in delivering patient-centered care that is both safe and clinically effective. At MSK Insights, Gareth provides musculoskeletal assessment, diagnostic ultrasound, and MSK injections. Gareth offers appointments on Wednesdays in Brixton and accept direct bookings here . The Chartered Society of Physiotherapy is the professional, educational and trade union body for the UK’s 60,000 chartered physiotherapists, physiotherapy students and associates What our patients have to say: “Max is a highly trained, responsive, competent, communicative, and caring practitioner and person. He has successfully treated me for the management of knee pain and other arthritic conditions over the last 5-6 years enabling me to live a physically active life. I really cannot recommend Max highly enough.” Helena Davis, 55, Personal Assistant at Royal College of Psychiatrists Pilates Studio in Lambeth 88 Atlantic Road, London, SW9 8PX, England 2 min from Brixton Underground Station 8 min from Pimlico via Victoria Line 15 min from Oxford Circus 27 min from King's Cross St Pancras Cortisone Injections at our South London Clinic Book an Appointment Booking an appointment is easy. Simply choose an available slot for a free phone consultation and we'll do the rest. There are no long wait times and we offer same day appointment. Book Appointment Now

Private cortisone injections for knee pain in South London. Understand what types of knee pain are treatable and how cortisone injections can help. Free consultation. Cortisone Injections for Knee Pain in South London Knee pain cortisone injections at our clinic We are a leading cortisone injection clinic offering steroid injections for knee pain, and related conditions such as Baker’s cyst and bursitis . Steroid injections can bring significant relief from musculoskeletal pain and bring you much-needed respite from your condition. We offer private injections at our South London clinic. A free telephone consultation is available to understand whether injections will be helpful and appropriate in your particular case, and your appointment also includes a diagnostic ultrasound consultation to ensure your injection will be safe and give you maximum benefit. Booking is quick and easy, please see our book appointment page for more details. Types of knee pain that are suitable for cortisone injection Cortisone injections are suitable for knee pain conditions related to inflammation and musculoskeletal pain. There is no hard-and-fast rule for which conditions are suitable, as various factors need to be taken into consideration such as the severity of the condition or pain, overall health, the particular diagnosis and any contraindications to treatment. In order to ensure injection therapy is the right course of action in your particular case, we offer a free virtual consultation to get a quick picture of your health and the condition you are experiencing, and advise on whether steroid injections are a good course of action for you. At your appointment we will also carry out a full ultrasound-led diagnosis and assessment to ensure you are receiving the most appropriate treatment and best possible care. “Max is a highly trained, responsive, competent, communicative, and caring practitioner and person. He has successfully treated me for the management of knee pain and other arthritic conditions over the last 5-6 years enabling me to live a physically active life. I really cannot recommend Max highly enough.” Helena Davis, 55, Personal Assistant at Royal College of Psychiatrists What our patients say How do cortisone injections help with knee pain? Cortisone injections rapidly reduce swelling and pain, bringing much-needed relief and increased mobility. If you have found your work or other daily activities such as family or general activity being hindered by your knee pain, a steroid injection can allow you the freedom to get back to work and normal life. Pain is not to be underestimated and when it becomes bad it can become debilitating and lead to depression. A reduction in mobility due to knee pain can also lead to inactivity which can cause further problems such as postural and health issues, leading to even further inactivity, known as the chronic pain cycle . It is crucial to seek help when you are in pain and not simply try to live with it, as when left unchecked pain can cause gradual deterioration of both mental and physical health. The break from pain and other symptoms brought by steroid injections will also allow you to take other actions to proactively combat your problem. In particular, you will be able to follow a physiotherapist-prescribed exercise programme to deal with your condition at the root by building flexibility and strength in the knee. It is important you do any exercises your physiotherapist gives you to avoid your problem worsening in the future and potentially leading to more problems further down the line. All our treatments include a written report and guidance on moving forward with treating your problem following your injection, so that you can use the opportunity the injection gives to set yourself on a path to better health. We also include a personalised physiotherapy exercise plan wherever appropriate. For more information about cortisone injections and frequently asked questions, see our cortisone injections page . How much do cortisone injections cost? Our cortisone injections start at just £260 including initial telephone consultation, diagnostic ultrasound, ultrasound-guided injection, written report with care plan and exercise prescription if appropriate. See our fees What knee pain conditions do you typically treat with injections? Whilst there is no definitive list, knee pain conditions that we often see as candidates for injection therapy include osteoarthritis , meniscal tear , bursitis , Baker’s cyst or ITB Syndrome . Other conditions such as ACL rupture or bone-related conditions are generally not treated with steroid injections. In all cases, a consultation with a medical professional and sometime an ultrasound-led diagnosis is crucial in choosing the right course of treatment for your particular case. Are cortisone injections a long-term solution for knee pain? Corticosteroids have a short term effect (around 3 months) but a common belief is that cortisone injections do not address the underlying causes of your pain and will only stop the symptoms. First of all, your pain has a massive impact on your daily life and any relief, even temporary, can help significantly with your sleep, work or family activities, and as a result, improve your general well being and mental health. Fortunately, simple pathologies, even when causing severe pain, tend to improve overtime and by the time the steroid has stopped working, we expect that your body has healed by itself and the pain won't return. Secondly, the pain free period allowed by steroid injections (up to 3-6 months on average and sometime over 1 year) is a window that will be used to begin further treatment such as a prescribed exercise program or sessions of physiotherapy , in order to address other causative factors for your problems. In some cases steroid injections can also be a permanent solution by stopping chronic inflammation or disrupting your pain signal. At your virtual consultation and first appointment , your clinician will ask questions and assess you to diagnose your problem and explain to you the options available. This will help you to understand how you can use the respite from pain which a corticosteroid injection provides, to work directly on your problem and provide you with a personalized exercise plan to avoid reliance on injections in the future. Your clinician All our injection treatments are carried out by our experienced physiotherapist and injection clinician, Maxence Legout. Max has over 15 years experience and holds a senior position in the NHS, where he carries out over 2000 ultrasound-guided injection & procedures every year. For more information please see our clinician page, or book a free online or telephone consultation to speak to Max directly. Read More What other treatments are available for knee pain? After a minor injury, such as a low grade sprain, fall from a low height or recent overuse, relative rest, ice and painkilling treatments like over-the-counter analgesic pills or gels, is often sufficient. Braces and supports can also be helpful adjuncts to walk comfortably. Losing weight and rehabilitation with strengthening exercises are all also important for knee pain as it modulates pain, helps strengthen muscles, improve flexibility, and promote healing with an exercise induced response in collagen turnover, blood flow and anti-inflammatory activity. Your physiotherapist will guide you on what activities you should do or should avoid at each stage of your recovery. If conservative management or steroid injection do not help on the long term, we also offer Arthrosamid or hyaluronic acid injections . For severe pain or when symptoms persist, surgery might be recommended. More information are available here . If you are suffering from knee pain, a diagnosis from a medical professional is an essential first step in understanding your problem and deciding what is the right course of treatment for you. MEDICAL REVIEW - The medical information on this page has been reviewed for accuracy by Maxence Legout, MSc, Physiotherapist . Pilates Studio in Lambeth 88 Atlantic Road, London, SW9 8PX, England 2 min from Brixton Underground Station 8 min from Pimlico via Victoria Line 15 min from Oxford Circus 27 min from King's Cross St Pancras Cortisone Injections at our South London Clinic Book an Appointment Booking an appointment is easy. Simply choose an available slot for a free phone consultation and we'll do the rest. There are no long wait times and you can normally have your injection treatment within a few days after making contact. Book Appointment Now

Book appointment for a private cortisone injection in our South London clinic or in your own home. Free consultation. Book Appointment How It Works Contact us with our form and we will call you back. We can either directly arrange a face to face appointment or offer a first initial video/phone consultation. 1. Option for free initial Virtual/Phone Consultation At your video/telephone consultation with our lead clinician, we will discuss your condition, answer any questions you have and ask about any contraindications to our treatments*. If you're ready to go ahead, we'll book you in for your treatment at a time that's convenient for you, either in-clinic or at a location of your choice. 2. Treatment Session Your treatment session with our expert clinician begins with a recap of your condition and brief medical history, before moving on to diagnostic ultrasound and examination to ensure the treatment is safe and appropriate for you. Once the diagnostic exam is complete your clinician will administer your injection, using the latest ultrasound guidance equipment to ensure the maximum possible benefit and safety. Finally, your clinician will provide you with any follow-up advice, and a personalised exercise programme to keep you pain-free for as long as possible. 3. Aftercare We perform over 2000 steroid injections per year and are here to help. If you have any questions or concerns following your treatment, don't hesitate to contact us and we will do whatever we need to do to help you. * Please note that whilst we do our best to gauge your suitability for our treatments during a virtual consultation, it is not a substitute for the in-person examination and diagnostic ultrasound carried out at your appointments and should not be considered as a medical examination. It is possible we may find previously unknown contraindications for treatment when the full diagnostic examination is carried out. If in doubt, please speak to us or consult your GP. Contact us

Your personal information are securely stored within our electronic patient record software (Rehab Guru) which is GDPR compliant and uses UK-based data centers which are accredited with ISO27001 and 90001 certificates. You have data protection rights under the data protection law. Insight MSK Privacy Policy The website www.insightmsk.co.uk and clinic are owned and operated by MLJ Healthcare Ltd. As required by law, our organisation is registered with the Information Commissioner’s Office and pay a yearly fee. Our contact details Name: MLJ Healthcare Ltd Address: 128 City Road London EC1V 2NX Contact form at: www.insightmsk.co.uk The type of personal information we collect We currently collect and process the following information: Name(s), Surname (s). Postal address(es). Date of Birth. Email(s). Phone number(s). Insurance number(s). How we get the personal information and why we have it Most of the personal information we process is provided to us directly by you for one of the following reasons: Booking appointments. Liaising with your GP regarding your care. Referring to Third parties (GPs, Consultants, other health professionals) for onward care. We also receive personal information indirectly, from the following sources in the following scenarios: From your GP, when referred to Insight MSK. From your Specialist, when referred to Insight MSK. A third party legally responsible referring a patient to Insight MSK. We may share this information when required by law. Under the UK General Data Protection Regulation (UK GDPR), the lawful bases we rely on for processing this information are: (a) Your consent. You are able to remove your consent at any time. You can do this by contacting MLJ Healthcare Ltd, 128 City Road, London, EC1V 2NX (b) We have a contractual obligation. (c) We have a legal obligation. (d) We have a vital interest. (e) We need it to perform a public task. (f) We have a legitimate interest. How we store your personal information Your personal information is securely stored within our electronic patient record software (Carepatron), which is GDPR compliant and uses UK-based data centers accredited with ISO27001 and ISO9001 certifications to ensure your data is protected to the highest possible standard. Carepatron’s privacy policy can be found here . We retain your patient record data for as long as necessary in accordance with legal and regulatory requirements or guidance, from the date of your last treatment for adult records, as per the Data Protection Act 2018. After this period, we will dispose of your information by requesting erasure of your electronic record from Carepatron. Information related to site traffic and data about your computer is only retained for as long as necessary in line with legal and regulatory obligations. We use a third party payment software platform called Stripe to take payment for service provided. Stripe’s Privacy Policy can be found here . Privacy Policy (stripe.com) Your data protection rights Under data protection law, you have rights including: Your right of access - You have the right to ask us for copies of your personal information. Your right to rectification - You have the right to ask us to rectify personal information you think is inaccurate. You also have the right to ask us to complete information you think is incomplete. Your right to erasure - You have the right to ask us to erase your personal information in certain circumstances. Your right to restriction of processing - You have the right to ask us to restrict the processing of your personal information in certain circumstances. Your right to object to processing - You have the the right to object to the processing of your personal information in certain circumstances. Your right to data portability - You have the right to ask that we transfer the personal information you gave us to another organisation, or to you, in certain circumstances. You are not required to pay any charge for exercising your rights. If you make a request, we have one month to respond to you. Please contact us at MLJ Healthcare Ltd, 128 City Road, London, EC1V 2NX, if you wish to make a request How to complain If you have any concerns about our use of your personal information, you can make a complaint to us at MLJ Healthcare Ltd, 128 City Road, London, EC1V 2NX You can also complain to the ICO if you are unhappy with how we have used your data. The ICO’s address: Information Commissioner’s Office Wycliffe House Water Lane Wilmslow Cheshire SK9 5AF Helpline number: 0303 123 1113 ICO website: https://www.ico.org.uk

Private US Guided Barbotage for cacific tendonitis in South London. Understand what a barbotageis and how it can help you. US Guided Barbotage in Central London and South London Barbotage Procedure at our clinic We are a leading musculoskeletal clinic offering diagnostic ultrasound and ultrasound guided procedures such as Barbotage for calcific tendonitis. We perform all procedures as part of a comprehensive and global management of your condition. We offer our services at our Central London and South London clinics and also offer home visits in the South London area. A free telephone consultation is available to understand whether an ultrasound scan will be helpful and appropriate in your particular case. Booking is quick and easy, please see our book appointment page for more details. What is a barbotage procedure? We use this procedure to treat resistant calcific tendinopathy, especially on the shoulder's tendons (rotator cuff). Calcific tendinopathy refers to the deposition of calcium into tendons leading to pain, inflammation, and reduced joint mobility. The goal of barbotage is to disrupt the calcific deposit, promote the absorption of calcium by the body, and alleviate symptoms such as pain and stiffness. Medical research suggests that this is the treatment of choice for calcific tendonitis with up to 70% success rate. More information are available here. “Max is a highly trained, responsive, competent, communicative, and caring practitioner and person. He has successfully treated me for the management of knee pain and other arthritic conditions over the last 5-6 years enabling me to live a physically active life. I really cannot recommend Max highly enough.” Helena Davis, 55, Personal Assistant at Royal College of Psychiatrists What our patients say How is an ultrasound guided barbotage performed ? Tendon barbotage typically involves the following steps: First, ultrasound is used to locate assess the extent of calcium deposits in the affected tendon. A needle is then carefully inserted into the calcium deposit area, ensuring precision in reaching the targeted site. Once positioned, a combination of solution and local anesthetic is injected into the tendon, which serves to numb the area, break up the calcium deposits, and create space within the tendon. After this injection, the same needle is to aspirate the dislodged calcium deposits and fluid, helping to clear debris from the tendon. Following the procedure, patients are recommended to rest before undergoing further treatments such as physiotherapy or anti-inflammatory medications, to support the healing process. MEDICAL REVIEW - The medical information on this page has been reviewed for accuracy by Maxence Legout, MSc, Physiotherapist . How much barbotage cost? Our Ultrasound Guided High Volume Injection procedure start from £350 including initial telephone consultation, diagnostic ultrasound, written report with care plan and exercise prescription if appropriate. See our fees Why should I book my US guided barbotage at Insight MSK? All our procedures and diagnostics are part of a comprehensive management of your condition in line with recent scientific evidence. All injections are ultrasound guided, which have been proven to be more effective and are all preceded by a thorough clinical examination. We do not only diagnose or "fix" problems but we strive to understand the context and causative factors which have led to your condition in order to prevent re-occurrence. These require several skills and the ability to deal with complex and multiple information which often need the expertise from different specialists and therefore multiple appointments, travel, fees... We offer all these services together to give you a prompt single point of contact to assess, diagnose and manage your condition thanks to our unique and vast experience in musculoskeletal medicine. Your clinician All our injection treatments are carried out by our experienced physiotherapist and injection clinician, Maxence Legout. Max has over 15 years experience and holds a senior position in the NHS, where he carries out over 2000 ultrasound-guided injection & procedures every year. For more information please see our clinician page, or book a free telephone or online consultation to speak to Max directly. Read More Is an ultrasound guided barbotage procedure painful ? The level of pain experienced during an ultrasound guided barbotage can vary from person to person. Some individuals may find the procedure uncomfortable, while others may experience more significant pain. We use local anaesthesia to numb the area before performing the procedure, which can help minimize pain during the actual injection. After the procedure, patients may experience some soreness, but this is typically temporary. We encourage you to communicate any concerns with us to ensure a comfortable and informative experience. Pilates Studio in Lambeth 88 Atlantic Road, London, SW9 8PX, England 2 min from Brixton Underground Station 8 min from Pimlico via Victoria Line 15 min from Oxford Circus 27 min from King's Cross St Pancras Cortisone Injections at our South London Clinic Book an Appointment Booking an appointment is easy. Simply choose an available slot for a free phone consultation and we'll do the rest. There are no long wait times and you can normally have your injection treatment within 3-4 days of first making contact. Book Appointment Now

Private diagnostic musculoskeletal ultrasound in South London. Understand what is a MSK ultrasound and how it can help to diagnose you joint or tendon pain. Free consultation. Musculoskeletal Diagnostic Ultrasound Scan in South London Diagnostic ultrasound at our clinic We are a leading musculoskeletal clinic offering diagnostic ultrasound and ultrasound guided procedures such as cortisone injections or hyaluronic acid injections for musculoskeletal pathologies. We perform diagnostic ultrasound scans as part of a comprehensive and global assessment of your condition and your general health. We offer diagnostic ultrasound at our South London clinic. A free telephone consultation is available to understand whether an ultrasound scan will be helpful and appropriate in your particular case. Booking is quick and easy, please see our book appointment page for more details. What is an Ultrasound Scan examination ? Ultrasound examination, also called ultrasound imaging or ultrasound scan, is a non-invasive medical imaging technique that uses high-frequency sound waves to create real-time images of internal structures in the body. A transducer emits sound waves, and the echoes produced as they bounce off tissues are used to generate detailed images of the musculoskeletal system, which includes muscles, tendons, ligaments, nerves, and joints. Musculoskeletal ultrasound is often used as a dynamic imaging tool, allowing real-time visualization of moving structures which is not possible with X-ray, CT or MRI. “Max is a highly trained, responsive, competent, communicative, and caring practitioner and person. He has successfully treated me for the management of knee pain and other arthritic conditions over the last 5-6 years enabling me to live a physically active life. I really cannot recommend Max highly enough.” Helena Davis, 55, Personal Assistant at Royal College of Psychiatrists What our patients say What can be diagnosed with an ultrasound scan? Musculoskeletal ultrasound can be used to diagnose a variety of conditions affecting the muscles, tendons, ligaments, joints, and other soft tissues in the musculoskeletal system . Some of the common conditions that we diagnose and evaluate include: Tendon pathology like tendonitis , tendon tears or ruptures. Ligament Injuries such as sprains or tears. Joint swelling caused by effusion or synovitis (Inflammation of the joint lining). Muscle tears or strains. Nerve conditions and entrapment such as carpal tunnel syndrome , cubital tunnel syndrome or tarsal tunnel syndrome. Cysts and Masses such as ganglion cysts or lipomas . Bursitis commonly seen in shoulder, elbow, hip and knee pain . Arthritis such as osteoarthritis or inflammatory joint diseases like rheumatoid arthritis . Foreign Bodies Fractures and particularly stress fractures can be detected despite not being the best exam for that. Calcifications such as calcific tendonitis . We also use musculoskeletal ultrasound to guide needle placement during joint aspirations or injections, please visit our treatment page for more information. How much does an ultrasound scan cost? Our ultrasound scans start from £150 including initial telephone consultation, diagnostic ultrasound, written report with care plan and exercise prescription if appropriate. See our fees Do I need an ultrasound scan for my condition? An ultrasound scans is an invaluable tool to assess musculoskeletal pathologies and can make a significant difference in your treatment and recovery. However, you do not always need an ultrasound scan and a good clinical examination can be sufficient and as effective, or sometimes there is a better alternative such as a X-ray, CT or MRI. We assess individually each patient to ensure that this is the best examination and we offer a free virtual consultation to save you time and money. Please visit our appointment page for more details. Please note that we do not scan the following: 1. Spine and spinal nerves such as to assess sciatica. 2. Non-musculoskeletal related presentations like pregnancy, vascular or abdominal scans. 3. Children before 10 . Why should I book an ultrasound scan with Insight MSK? We typically perform diagnostic ultrasound scans as part of a comprehensive management of your problem. An ultrasound scan in isolation is only a single element in the diagnosis process, this need to be correlated to your general health, age, and information from a clinical and physical assessment. This requires several skills and the ability to deal with complex and multiple information which often need the expertise from different specialists and therefore multiple appointments, travel, fees... We offer all these services together to give you a prompt single point of contact to assess, diagnose and manage your condition thanks to our unique and vast experience in musculoskeletal medicine. Your clinician All our injection treatments are carried out by our experienced physiotherapist and injection clinician, Maxence Legout. Max has over 15 years experience and holds a senior position in the NHS, where he carries out over 2000 ultrasound-guided injection & procedures every year. For more information please see our clinician page, or book a free telephone or online consultation to speak to Max directly. Read More Is an ultrasound scan painful or risky? No, ultrasound scans are generally not painful but some positions might be temporarily uncomfortable. A gel is applied to the skin to enhance the transmission of sound waves and hence limits the need to compress the probe with most individuals feeling only mild pressure. Ultrasound scans are harmless examinations due to the absence of radiations. To ensure the highest safety of our patients we practice in line with the recommendations of The British Medical Ultrasound Society . We encourage you to communicate any concerns with us to ensure a comfortable and informative experience. MEDICAL REVIEW - The medical information on this page has been reviewed for accuracy by Maxence Legout, MSc, Physiotherapist . Pilates Studio in Lambeth 88 Atlantic Road, London, SW9 8PX, England 2 min from Brixton Underground Station 8 min from Pimlico via Victoria Line 15 min from Oxford Circus 27 min from King's Cross St Pancras Cortisone Injections at our South London Clinic Book an Appointment Booking an appointment is easy, t here are no long wait times and you can normally have your injection treatment soon after first making contact. Book Appointment Now

Private cortisone injections for low back pain in South London. Understand what types of low back pain are treatable and how cortisone injections can help. Free consultation. Cortisone Injections for Low Back Pain in South London Low Back Pain cortisone injections at our clinic We are a leading cortisone injection clinic offering steroid injections for certain type of low back pain. Steroid injections can bring significant relief from low back pain and bring you much-needed respite from your condition. We offer private injections at our South London clinic. A free telephone consultation is available to understand whether injections will be helpful and appropriate in your particular case, and to ensure your injection will be safe and give you maximum benefit. Booking is quick and easy, please see our book appointment page for more details. What causes Low Back Pain? Low back pain can have various causes, and it is a common condition that affects people of all ages. Some of the common causes of low back pain include: Disc pathologies affecting intervertebral discs (cushions between the vertebrae in the spine) such as natural aging process, often called Degenerative Disc Disease or herniated (bulging disc sometime called "slipped disc") occurring when the soft inner portion of the disc pushes through its outer layer, potentially irritating nearby nerves. causing pain numbness, or tingling in the lower back and legs such as in sciatica. Spinal Stenosis caused by the narrowing of the spinal canal, which can put pressure on spinal nerves. Osteoarthritis & degeneration of the facet joints in the spine can lead to inflammation and pain in the lower back. inflammatory arthritis such as ankylosing spondylitis that primarily affects the spine. Injuries such as fractures of the vertebras. Lifestyle Factors such as a lack of regular exercise, obesity or smoking can contribute to low back pain. It's important to note that many cases of low back pain resolve on their own or with conservative treatments such as rest, exercises and over-the-counter pain medications. However, persistent or severe pain, especially if accompanied by other symptoms, should be evaluated by a healthcare professional for a comprehensive diagnosis and appropriate management. In order to ensure injection therapy is the right course of action in your particular case, we offer a free virtual consultation to get a quick picture of your health and the condition you are experiencing, and advise on whether steroid injections are a good course of action for you. At your appointment we will also carry out a full ultrasound-led diagnosis and assessment to ensure you are receiving the most appropriate treatment and best possible care. “Max is a highly trained, responsive, competent, communicative, and caring practitioner and person. He has successfully treated me for the management of knee pain and other arthritic conditions over the last 5-6 years enabling me to live a physically active life. I really cannot recommend Max highly enough.” Helena Davis, 55, Personal Assistant at Royal College of Psychiatrists What our patients say How do cortisone injections help with low back pain? In our clinic we offer injections for low back pain caused by osteoarthritis of the spinal joints (facet joints), sacroiliac joint or coccyx pathologies. An injection in the low back muscles (also known as trigger points injections) can also be helpful for acute or chronic back pain and sciatica . Cortisone injections can rapidly reduce pain, bringing much-needed relief and increased mobility. If you have found your work or other daily activities involving prolonged sitting, standing, sleeping, being hindered by your low back pain, a steroid injection can allow you the freedom to get back to work and normal life. Pain is not to be underestimated and when it becomes bad it can become debilitating and lead to depression. Low back pain can also lead to inactivity which can cause further problems such as postural and health issues, leading to even further inactivity, known as the chronic pain cycle . It is crucial to seek help when you are in pain and not simply try to live with it, as when left unchecked pain can cause gradual deterioration of both mental and physical health. The break from pain and other symptoms brought by steroid injections will also allow you to take other actions to proactively combat your problem. In particular, you will be able to follow a physiotherapist-prescribed exercise programme to deal with your condition at the root by building flexibility and strength in your back region. It is important you do any exercises your physiotherapist gives you to avoid your problem worsening in the future and potentially leading to more problems further down the line. All our treatments include a written report and guidance on moving forward with treating your problem following your injection, so that you can use the opportunity the injection gives to set yourself on a path to better health. We also include a personalised physiotherapy exercise plan wherever appropriate. For more information about cortisone injections and frequently asked questions, see our cortisone injections page . How much do cortisone injections cost? Our cortisone injections start at just £260 including initial telephone consultation, diagnostic ultrasound, ultrasound-guided injection, written report with care plan and exercise prescription if appropriate. See our fees Can you diagnose the cause of low back pain with an ultrasound scan ? Ultrasound imaging itself is not appropriate to diagnose the cause of low back pain and in most cases, no investigation at all is required to make a diagnosis and start a treatment. We use ultrasound guidance to perform spinal injections safely and effectively. In all cases, a consultation with a medical professional is crucial in choosing the right course of treatment for your particular case. Are cortisone injections a long-term solution for low back pain? Corticosteroids have a short term effect (around 3 months) but a common belief is that cortisone injections do not address the underlying causes of your pain and will only stop the symptoms. First of all, your pain has a massive impact on your daily life and any relief, even temporary, can help significantly with your sleep, work or family activities, and as a result, improve your general well being and mental health. Fortunately, simple pathologies, even when causing severe pain, tend to improve overtime and by the time the steroid has stopped working, we expect that your body has healed by itself and the pain won't return. Secondly, the pain free period allowed by steroid injections (up to 3-6 months on average and sometime over 1 year) is a window that will be used to begin further treatment such as a prescribed exercise program or sessions of physiotherapy , in order to address other causative factors for your problems. At your virtual consultation and first appointment , your clinician will ask questions and assess you to diagnose your problem and explain to you the options available. This will help you to understand how you can use the respite from pain which a corticosteroid injection provides, to work directly on your problem and provide you with a personalized exercise plan to avoid reliance on injections in the future. Your clinician All our injection treatments are carried out by our experienced physiotherapist and injection clinician, Maxence Legout. Max has over 15 years experience and holds a senior position in the NHS, where he carries out over 2000 ultrasound-guided injection & procedures every year. For more information please see our clinician page , or book a free online or telephone consultation to speak to Max directly. Read More What other treatments are available for low back pain pain? The treatment for low back pain depends on the underlying cause, the severity of the pain, and individual factors. In many cases, low back pain can be managed with conservative treatments. Here are some common approaches: Short term relative rest and activity modification may be recommended for acute low back pain, but prolonged bed rest is generally discouraged and gradual return to normal activities limiting activities that worsen the pain is often recommended. Physiotherapy can help improve flexibility, strength, and enhance overall spine stability. Therapeutic exercises, stretches, and manual therapy techniques may be prescribed also for their effect on pain modulation. Medications over-the-counter such as paracetamol or ibuprofen can help manage pain and reduce inflammation. Muscle relaxants may be prescribed for short courses in some cases. In certain situations, stronger prescription medications may be considered. Heat and cold applied on the affected area can help alleviate pain. Heat is often used for muscle spasms. Lifestyle Modifications such as avoiding prolonged sitting and using ergonomic furniture and tools can help prevent or alleviate low back pain. Maintaining a healthy weight, stop smoking and incorporating regular exercise into daily life also contribute to overall spine health. Injections in different area of the spine such as epidural injections are sometimes used for more targeted pain relief. Cognitive-Behavioral Therapy (CBT) can be helpful for managing chronic low back pain by addressing psychological factors and promoting positive coping strategies. Braces and Supports may be recommended for some conditions such as sacroiliac disorders . Surgery might be necessary where conservative treatments are not effective and there is a specific structural problem (such as a non-resolving nerve compression). If you are suffering from low back pain, a diagnosis from a medical professional is an essential first step in understanding your problem and deciding what is the right course of treatment for you. MEDICAL REVIEW - The medical information on this page has been reviewed for accuracy by Maxence Legout, MSc, Physiotherapist . Pilates Studio in Lambeth 88 Atlantic Road, London, SW9 8PX, England 2 min from Brixton Underground Station 8 min from Pimlico via Victoria Line 15 min from Oxford Circus 27 min from King's Cross St Pancras Cortisone Injections at our South London Clinic Book an Appointment Booking an appointment is easy. Simply choose an available slot for a free phone consultation and we'll do the rest. There are no long wait times and you can normally have your injection treatment within 3-4 days of first making contact. Book Appointment Now

We are a private cortisone injection clinic in South London. We treat musculoskeletal conditions including back pain, knee pain, elbow pain and tennis elbow, shoulder pain, frozen shoulder and many more. Free assessment available. Conditions treated Shoulder pain Frozen shoulder (capsulitis) , glenohumeral, acromioclavicular & sternoclavicular joint osteoarthritis , subacromial & sub coracoid bursitis, rotator cuff impingement & tendinopathies Knee pain Femorotibial & patellofemoral osteoarthritis , meniscal tears, prepatellar & infrapatellar bursitis, Hoffa’s fat pad impingement, quadriceps & patellar tendinopathy , iliotibial band (ITB) syndrome, Baker's cyst Elbow pain Tennis elbow & golfer’s elbow , triceps tendinopathy , olecranon bursitis, humeroradial & humeroulnar joint osteoarthritis , cubital tunnel syndrome Hip & Pelvic pain Coxofemoral osteoarthritis , iliopsoas bursitis, gluteus & hamstring tendinopathy , greater trochanteric pain syndrome & bursitis, low back pain , sacroiliitis , coccyx pain (coccygodynia) Hand & Wrist pain De Quervain tenosynovitis, Carpal Tunnel Syndrome , wrist joint & fingers osteoarthritis , trigger finger/thumb, ganglion cysts Foot & Ankle pain Ankle, foot and toes osteoarthritis , tibialis posterior, peroneal & extensors tendinopathy , intermetatarsal bursitis & Morton’s neuroma, plantar fasciopathy , ganglion cysts It all starts with pain... You might feel pain in different parts of your musculoskeletal system. We understand the impact of pain on all aspects of daily life. It all start from how you feel in your body and what activity you cannot do as easily as usual or maybe what is not possible anymore. Painful conditions can place a considerable burden on people. In most people, it can affect the perception of general health , it can be associated with depressive symptoms. Pain can have considerable social and economical impacts by interfering with one's ability to work and carry out usual activities. It can also affect interactions and relationships. What does my pain mean? Pain can occur for a variety of reasons, and its mechanisms are highly complexes. Pain also has different type of presentation and can be described with a variety of terms. Check our page blog to learn more about the functioning of physical pain as well as the British pain society website . It can be very difficult to understand the reason of a certain type of pain without a professional assessment. Various types of pain in the same body part can mean different things and have different origins. As demonstrated below, a variety of conditions can cause pain. These conditions involve joints, muscles, nerves and tendons and can be extremely debilitating and overwhelming. Should I wait for the pain to go away by itself? If you're experiencing pain, it's generally a good idea to consult with a healthcare professional for personalized advice. Pain can be a signal that something might be wrong, and it could be important to understand the underlying cause. In some cases, pain may be temporary and resolves on its own. Over the counter analgesia such as paracetamol can help for mild to moderate pain. Relative rest, ice, compression, and elevation (RICE) can also be helpful for minor injuries. However, persistent or severe pain may require medical attention. Ignoring or waiting too long to address certain types of pain could potentially lead to further complications. If you're unsure about what to do, contact us so we can evaluate your specific situation, provide a proper diagnosis, and recommend an appropriate course of action. How long should I wait if I am in pain before seeking treatment? The decision on when to seek advice for pain depends on various factors, including the severity and duration of the pain, as well as any accompanying symptoms. Ultimately, if you're unsure or concerned about your pain, it's better to consult with a healthcare professional sooner rather than later. Insight MSK can help determine the cause of the pain and recommend appropriate treatment options. Ignoring persistent or severe pain may lead to complications or delayed treatment of underlying issues. When do I need surgery? Surgery may be recommended for various conditions affecting the bones, joints, muscles, ligaments, tendons, and other parts of the musculoskeletal system. The decision to undergo surgery is typically based on the severity of the condition, the extent of symptoms, and the response to conservative treatments. It's important to note that surgery is often considered after other less invasive treatment options have been explored. Always seek the guidance of a qualified healthcare provider to determine the most appropriate course of action for your musculoskeletal condition. Should I still contact you if I am not sure what is happening? Absolutely. If you're uncertain about your condition, experiencing persistent symptoms, or have concerns about your health, it's always a good idea to contact a healthcare professional. It's important not to ignore symptoms or delay seeking medical advice, especially if you're unsure about what might be causing your discomfort. Early intervention and proper medical guidance can often lead to better outcomes and prevent potential complications. If your symptoms are severe or if you experience a medical emergency, don't hesitate to seek immediate medical attention and call 999. How can I know if you can help with my condition? Contacting us is always going to be helpful. The most important thing we do is help assess your symptoms, and offer guidance on the appropriate course of action whether or not it is with our service. You will never be left unsure of what to do next. We are with you every step of the way to recovery.See our What to expect page for more details on what happens at the initial consultation. Pilates Studio in Lambeth 88 Atlantic Road, London, SW9 8PX, England 2 min from Brixton Underground Station 8 min from Pimlico via Victoria Line 15 min from Oxford Circus 27 min from King's Cross St Pancras Cortisone Injections at our South London Clinic Book an Appointment Booking an appointment is easy. Simply choose an available slot for a free phone consultation and we'll do the rest. There are no long wait times and we offer same day appointment. Book Appointment Now What our patients have to say: “Max is a highly trained, responsive, competent, communicative, and caring practitioner and person. He has successfully treated me for the management of knee pain and other arthritic conditions over the last 5-6 years enabling me to live a physically active life. I really cannot recommend Max highly enough.” Helena Davis, 55, Personal Assistant at Royal College of Psychiatrists